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General NPI Number Information
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NPI Number | 1548978851
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Entity Type | Organization
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Legal Business Name | ALIGN THERAPY AND EMDR PLLC
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 5900 BALCONES DRIVE SUITE 100
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City | AUSTIN
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State | TX
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Zip | 78731
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Country | US
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Telephone | 512-967-3275
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Fax |
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Provider Business Mailing Address
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Address Line | 2110 W SLAUGHTER LN STE 107 #512
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City | AUSTIN
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State | TX
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Zip | 78748
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Country | US
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Telephone | 512-967-3275
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. JULIE ANNE JONES
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Credential | LPC-S, LCDC
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Telephone | 512-967-3275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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